{"title":"Probable acute fatty liver of pregnancy presenting with dyspnoea and ground-glass opacities.","authors":"Umesha Pathmanathan, Claudia Alamein, Adam Morton","doi":"10.1177/1753495X241261115","DOIUrl":"10.1177/1753495X241261115","url":null,"abstract":"<p><p>We present the case of a postpartum woman presenting with acute dyspnoea and hypoxia. She was found to have liver enzyme derangement with evidence of synthetic dysfunction. Computed tomography of her chest showed ground-glass opacities. The causes of this phenomenon are discussed, including the difficulties in differentiating amniotic fluid embolism and acute fatty liver in pregnancy. Pulmonary fat embolism is also considered as a differential diagnosis.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" ","pages":"1753495X241261115"},"PeriodicalIF":0.8,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11563540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Obstetric MedicinePub Date : 2024-06-01Epub Date: 2024-05-21DOI: 10.1177/1753495X241247243
Jarrod Zamparini, Shastra Bhoora
{"title":"Evolving paradigms in obstetric critical care: A global perspective.","authors":"Jarrod Zamparini, Shastra Bhoora","doi":"10.1177/1753495X241247243","DOIUrl":"10.1177/1753495X241247243","url":null,"abstract":"","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"17 2","pages":"69-70"},"PeriodicalIF":0.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11110749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Obstetric MedicinePub Date : 2024-03-01Epub Date: 2024-04-22DOI: 10.1177/1753495X241236225
Bianca E Hall, Meena Khandelwal
{"title":"Crossroads of choice: The changing terrain of US abortion laws.","authors":"Bianca E Hall, Meena Khandelwal","doi":"10.1177/1753495X241236225","DOIUrl":"https://doi.org/10.1177/1753495X241236225","url":null,"abstract":"","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"17 1","pages":"3-4"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11037203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Obstetric MedicinePub Date : 2024-03-01Epub Date: 2021-08-31DOI: 10.1177/1753495X211037910
Elin H Thomas, Sarah Woodward, Shakeel Ahmad
{"title":"Managing pregnancy-related stroke risk with known bilateral internal carotid artery webs.","authors":"Elin H Thomas, Sarah Woodward, Shakeel Ahmad","doi":"10.1177/1753495X211037910","DOIUrl":"10.1177/1753495X211037910","url":null,"abstract":"<p><p>Carotid webs are intraluminal shelf-like projections caused by thickening of the arterial tunica intima. Due to their projections forming a nidus for thrombus formation and subsequent embolus, they are considered to be a rare cause of ischaemic strokes. We report a case of a woman with a background of recurrent ischaemic strokes due to bilateral carotid webs who presented with a twin pregnancy. We use this case to discuss how her pregnancy-related stroke risk was subsequently medically managed.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"1 1","pages":"63-65"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11037199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44668522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lara N. Roberts, Michael Bryan, J. Daru, Beverley J. Hunt, Sajida Kazi, Will Lester, Bethan Myers, Sue Pavord, Mari Thomas, Clare Tower, Gillian Swallow
{"title":"Interest and barriers to research in obstetric haematology – findings from a national survey in the United Kingdom","authors":"Lara N. Roberts, Michael Bryan, J. Daru, Beverley J. Hunt, Sajida Kazi, Will Lester, Bethan Myers, Sue Pavord, Mari Thomas, Clare Tower, Gillian Swallow","doi":"10.1177/1753495x231219296","DOIUrl":"https://doi.org/10.1177/1753495x231219296","url":null,"abstract":"In 2021, the steering committee members of British Society of Haematology Obstetric Haematology Special Interest Group noted difficulties in opening research studies. This led to the development of a survey to further evaluate this issue. An electronic survey was distributed to all members of the British Society of Haematology Obstetric Haematology Special Interest Group and to relevant specialty leads of the National Institute for Health and Care Research Clinical Research Network for further dissemination within these networks. Responses were received from 65 participants (73% consultant grade); mainly haematologists (52%) or obstetricians (39%). Less than a third of participants reported dedicated time for research in their job plan, with only five participants reporting no challenges in opening research studies in obstetric haematology. The survey confirmed significant interest in obstetric haematology research, with barriers to participation. We propose further actions to facilitate increased research.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"47 20","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138949442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joseph O’Sullivan, Hifsa Mahmood, Ruth A Curry, Charlotte J Frise
{"title":"Pregnancy in a woman with extreme short stature and low body weight secondary to a collagen VI-related muscular dystrophy","authors":"Joseph O’Sullivan, Hifsa Mahmood, Ruth A Curry, Charlotte J Frise","doi":"10.1177/1753495x231219298","DOIUrl":"https://doi.org/10.1177/1753495x231219298","url":null,"abstract":"Pregnancy poses significant physiological demands, and women of extreme short stature may be particularly at risk of complications. Described here are two pregnancies in a woman who was 130 cm tall with a body mass index of 12 kg/m2 and the maternal and neonatal outcomes. The challenges encountered in the care of our patient included cardiorespiratory compromise, management of medication dosing, management of delivery and bleeding risk.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"32 22","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138949027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editorial: Meetings, education and collaboration","authors":"S. E. Lapinsky, J. Gehlert, Charlotte J Frise","doi":"10.1177/1753495x231216514","DOIUrl":"https://doi.org/10.1177/1753495x231216514","url":null,"abstract":"","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"55 1","pages":"209 - 210"},"PeriodicalIF":0.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138623430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Jindal, D. Launer, Georgia Richards, Francesco Dernie, Alice Dempsey, Sarah Carter, Sarah Loveridge, Sheba Jarvis, Idoia Elorza Ridaura, Lisa Reid, Lee Gethings, Elizabeth Want, Catherine Nelson Piercy, Hayley Martin, Kate Bramham, Kate Wiles, Elizabeth Ralston, Katherine R. Clark, Francois Dos Santos, S. Walji, J. Cegla, Alessia David, Lucy Barton, Catherine Nelson-Piercy
{"title":"Proceedings from the 43rd MacDonald Obstetric Medicine Society Meeting2.11.23","authors":"J. Jindal, D. Launer, Georgia Richards, Francesco Dernie, Alice Dempsey, Sarah Carter, Sarah Loveridge, Sheba Jarvis, Idoia Elorza Ridaura, Lisa Reid, Lee Gethings, Elizabeth Want, Catherine Nelson Piercy, Hayley Martin, Kate Bramham, Kate Wiles, Elizabeth Ralston, Katherine R. Clark, Francois Dos Santos, S. Walji, J. Cegla, Alessia David, Lucy Barton, Catherine Nelson-Piercy","doi":"10.1177/1753495X231212990","DOIUrl":"https://doi.org/10.1177/1753495X231212990","url":null,"abstract":"Background: Coroners in England and Wales publish Prevention of Future Death (PFD) reports when they believe action should be taken to prevent similar deaths from occurring, and organisations have a duty to respond within 56 days. These reports are publicly available, but under-utilised and poorly disseminated. Methods: We used an established and reproducible web-scraping and case-screening method using openly available code to screen 4411 PFDs from 1st July 2013 (inception) - 1st June 2023 for maternal deaths. We extracted demographic information, coroner ’ s concerns, and organisational responses, and employed directed content analysis to identify common themes. Results: We identi fi ed 29 PFDs concerning maternal deaths. The mean age of death was 34 years and 76% occurred in hospital. The most common causes of death were suicides and consequences of thromboembolism (6 cases each). The most frequent risk factor identi fi ed was extremes of age (<17 years or >35 years). Death most commonly occurred during the antepartum period. Coroners frequently voiced concerns around poor multidisciplinary working (59% of PFDs), failure to provide appropriate treatment (48%) and failure of timely escalation (38%). Only 38% of PFDs received a response from the organisation to which they were sent. When organisations did respond, 85% of responses implemented new changes including publishing new local policies, increasing multidisciplinary training in obstetric scenarios, or committing to increasing staf fi ng levels. Conclusions: PFDs can highlight gaps in obstetric care which, if appropriately addressed, could prevent future maternal deaths. However, the low response rate to reports suggest lessons are not being learnt","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":" 44","pages":"3 - 14"},"PeriodicalIF":0.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138620938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hypokalaemia in pregnancy – Prevalence, underlying causes, and an approach to investigation","authors":"Jinwen He, A. Morton","doi":"10.1177/1753495x231213537","DOIUrl":"https://doi.org/10.1177/1753495x231213537","url":null,"abstract":"To investigate the prevalence and aetiology of hypokalaemia in pregnancy. This was a five-year retrospective audit of women who received care at a tertiary hospital, who developed hypokalaemia during pregnancy and within three weeks postpartum. Serum potassium and magnesium levels cause(s) of hospitalization and investigations for hypokalaemia were obtained from hospital records. One hundred and ten women developed hypokalaemia during pregnancy and the immediate postpartum period, representing 0.36% of total births. Ninety-one per cent of patients had mild to moderate hypokalaemia (K 2.6–3.1 mmol/L), while 9% had severe hypokalaemia (K < 2.6 mmol/L). The most common associations of hypokalaemia were infection (38%), vomiting (18%), hypertensive disorders (12%) and postpartum haemorrhage (9%). Twenty-four patients did not have a clear underlying aetiology of hypokalaemia, but only five had further investigations. There was inadequate investigation and follow-up of hypokalaemia, particularly in women in whom an obvious cause was not apparent.","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"26 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139212726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kristine Barnden, Katrina Moss, Heike Roth, Amanda Henry, SE Caroline, N. D. Alwis, Sally Beard, Natalie K Binder, N. Pritchard, Tu ’ uhevaha, J. K. ’. u-Lino, Sue P Walker, Owen Stock, Katie Groom, Scott Petersen, Joanne M Said, Sean Seeho, Stefan C Kane, Stephen Tong, L. Hui, N. Hannan, Helen McDougall, Nadia Olivier, Grace Yuan, Mark Tacey, David Langsford, B. Fato, Adrian J. Hobbs, K. Bubb, Yamema Esber, M. Gow, Lynne M Roberts, Sathia Sushil, Gregory K. Davis, Mark A Brown, G. Mangos, F. Pettit, Tony O ’ Sullivan, Shuyao Yan, Donna Lohmeyer, Angela Makris, Kelly Thompson, Jessica Han, Anna Krelle, C. McCormick, P. C. D. Crespigny, Julia Unterscheider, Jie Shang, Katie Harris, Maree Hackett, Mark Woodward, Aurora Upitis, Daniella Susic, Maria E Craig, Jonathan Sen, Jordan Dixon, Emma Smith, Sam Banks, Ashleigh-Georgia Sherriff, L. Lynch, Leah Wright, M. Oreto, Tom Marwick, E. Aldridge, M. Pathirana, M. Wittwer, Susan Sierp, S. Leemaqz, Claire T. Roberts, Gustaaf A. Dekker, Margaret A. Arstall
{"title":"SOMANZ abstract packet","authors":"Kristine Barnden, Katrina Moss, Heike Roth, Amanda Henry, SE Caroline, N. D. Alwis, Sally Beard, Natalie K Binder, N. Pritchard, Tu ’ uhevaha, J. K. ’. u-Lino, Sue P Walker, Owen Stock, Katie Groom, Scott Petersen, Joanne M Said, Sean Seeho, Stefan C Kane, Stephen Tong, L. Hui, N. Hannan, Helen McDougall, Nadia Olivier, Grace Yuan, Mark Tacey, David Langsford, B. Fato, Adrian J. Hobbs, K. Bubb, Yamema Esber, M. Gow, Lynne M Roberts, Sathia Sushil, Gregory K. Davis, Mark A Brown, G. Mangos, F. Pettit, Tony O ’ Sullivan, Shuyao Yan, Donna Lohmeyer, Angela Makris, Kelly Thompson, Jessica Han, Anna Krelle, C. McCormick, P. C. D. Crespigny, Julia Unterscheider, Jie Shang, Katie Harris, Maree Hackett, Mark Woodward, Aurora Upitis, Daniella Susic, Maria E Craig, Jonathan Sen, Jordan Dixon, Emma Smith, Sam Banks, Ashleigh-Georgia Sherriff, L. Lynch, Leah Wright, M. Oreto, Tom Marwick, E. Aldridge, M. Pathirana, M. Wittwer, Susan Sierp, S. Leemaqz, Claire T. Roberts, Gustaaf A. Dekker, Margaret A. Arstall","doi":"10.1177/1753495X231199817","DOIUrl":"https://doi.org/10.1177/1753495X231199817","url":null,"abstract":"The Lancet described climate change as the greatest global health threat of the twenty-fi rst century. This talk will focus on the effects of heat and poor air quality on pregnancy outcomes, and strategies to minimise harm. Climate change magni fi es existing inequalities","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"77 1","pages":"3 - 41"},"PeriodicalIF":0.7,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139244251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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